In your case, we wouldn't recommend HCG for you. Mostly because you don't want the fertility & because it sounds like you have the benefits you need from traditional TRT. You are right that it would p... See Full Answer
The main side effects would be a reduction of fertility via lower spermatic production while on TRT, a chance for hair loss if you're genetically predisposed to it (otherwise extremely unlikely), and ... See Full Answer
So, to keep it simple, TRT is male birth control. While some men still can produce sperm while on TRT, you should never assume you are one of them. Adding hCG can restart the production of sperm by e... See Full Answer
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
How does testosterone change a man's fertility? In the short term? The long term?
Testosterone replacement therapy (TRT) is a life-changing treatment for many men, offering improved energy, libido, and overall well-being. However, TRT has a significant impact on male fertility, as discussed in this video. AlphaMD's Garrett Soames, explains the science behind these effects and offers solutions to mitigate fertility challenges for men undergoing TRT.
TRT significantly reduces fertility by interfering with the body’s natural hormone production:
Yes, it’s possible to maintain fertility while undergoing TRT with the help of additional medications. These treatments either prevent the suppression of gonadotropins or mimic their effects:
HCG (Human Chorionic Gonadotropin):
Clomid (or Enclomiphene):
Other Medications:
Options like HMG (human menopausal gonadotropin) and GnRH agonists (e.g., Lupron) are effective but often too expensive for long-term use during TRT. HCG and Clomid remain the most affordable and practical choices.
Stopping TRT allows fertility to return to baseline levels within 3 to 12 months:
TRT effectively acts as a form of male birth control by suppressing sperm production. However, the effects are reversible with the right approach. By incorporating medications like HCG or Clomid, men can preserve their fertility even while benefiting from TRT.
TRT offers incredible benefits for men experiencing low testosterone, but it’s important to understand and manage its effects on fertility. At AlphaMD, we provide personalized care to help you achieve your health goals while preserving your future fertility.
Visit AlphaMD.org to learn more or schedule a consultation. Whether you’re considering TRT or planning to start a family, AlphaMD is here to guide you every step of the way.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
In your case, we wouldn't recommend HCG for you. Mostly because you don't want the fertility & because it sounds like you have the benefits you need from traditional TRT. You are right that it would p... See Full Answer
The main side effects would be a reduction of fertility via lower spermatic production while on TRT, a chance for hair loss if you're genetically predisposed to it (otherwise extremely unlikely), and ... See Full Answer
So, to keep it simple, TRT is male birth control. While some men still can produce sperm while on TRT, you should never assume you are one of them. Adding hCG can restart the production of sperm by e... See Full Answer
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